a School of Social Welfare and School of Public Health , University at Albany, State University of New York, Health Policy, Management, & Behavior , Rensselaer , NY , USA.
Soc Work Public Health. 2019;34(5):383-394. doi: 10.1080/19371918.2019.1613277. Epub 2019 May 9.
The Black population is more likely to experience obesity and to be debilitated by associated illnesses. Much evidence exists linking obesity to many chronic diseases, but the relationship with self-reported health is not clear. The study aims were to examine the relationship between obesity and self-reported health across four race- and gender-specific groups of Black Americans and to assess whether health disparities are race or gender driven. Data were drawn from the National Survey of American Life (NSAL) to estimate separate multivariate logistic regression models for 5,191 persons. Using logistic regression analysis, odds of reporting reduced health in obese individuals were compared with those for healthier weight individuals, adjusting for known controls. Among African American men, African American women, and Caribbean Black women, there was a statistically significant association between obesity and self-rated health (p < .001). The proportion of persons reporting excellent health decreased with increasing level of obesity in all groups, but more pronounced among both racial groups of women. The results of this study provide evidence that obesity has a negative impact on self-rated health among Black Americans, excluding Caribbean Black men, even in the absence of a chronic disease such as diabetes. Health professionals should focus on preventive healthy weight strategies and interventions that are culturally specific and relevant in order to address the obesity health disparity in African American and Caribbean Black women.
黑人群体更容易肥胖，并因相关疾病而身体虚弱。有大量证据表明肥胖与许多慢性疾病有关，但肥胖与自我报告的健康之间的关系尚不清楚。本研究旨在检验肥胖与黑人的自我报告健康之间的关系，研究对象包括四个按种族和性别划分的美国黑人群体，并评估健康差异是由种族还是性别驱动的。数据来自全国生活调查（NSAL），用于估计 5191 名个体的独立多元逻辑回归模型。使用逻辑回归分析，与体重更健康的个体相比，肥胖个体报告健康状况下降的几率，同时调整了已知的控制因素。在非裔美国男性、非裔美国女性和加勒比裔黑人女性中，肥胖与自我报告的健康之间存在统计学显著关联（p<.001）。在所有群体中，随着肥胖程度的增加，报告健康状况极好的人数比例下降，但在女性这两个种族群体中更为明显。这项研究的结果提供了证据，表明肥胖对美国黑人的自我报告健康状况有负面影响，除了加勒比裔黑人男性，即使在没有糖尿病等慢性疾病的情况下也是如此。健康专业人员应关注具有文化针对性且相关的预防健康体重策略和干预措施，以解决非裔美国人和加勒比裔黑人女性中的肥胖健康差异问题。
